Functional Gastrointestinal Disorders, Gastroesophageal Reflux and Neurogastroenterology: Working Group Report of the Second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition
Carlo Di LorenzoMarc A. BenningaDavid ForbesMauro Batista de MoraisClaudio MoreraColin D. RudolphAnnamaria StaianoPeter SullivanJacinta Tobin
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Abstract:
Research Investigation of enteric neurobiology and development of the enteric nervous system. Neuro‐immunology and the gut: characterization of the interactions between the central nervous system, enteric nervous system and immune system. Evaluation of the role of early life events in the development of functional gastrointestinal disorders. Intervention evelopment of multicenter, controlled studies aimed at evaluating epidemiology, pathophysiology and treatment of functional bowel disorders. Creation of a tissue bank for children with enteric neuromuscular disorders. Validation of the Rome II diagnostic criteria at the general practitioner and specialty level. Education Train physicians and researchers in performing motility, sensory, and laboratory assessment in the field of enteric neuromuscular disorders. Educate primary care physicians in the evaluation and treatment of GER and other functional bowel disorders. Educate care providers on the high incidence of enteric neuromuscular disorders and the special needs of children with neurologic handicaps.Keywords:
Enteric Nervous System
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Esophageal Disorder
Pediatric gastroenterology
Gastroparesis
Gastroparesis is a disorder with few available treatments and delayed stomach emptying. Gastric electrical stimulation (GES) has shown promise in treating the signs and symptoms of gastroparesis as well as gastric emptying by stimulating the stomach with high-frequency electrical impulses. In this case, a 43-year-old lady with refractory gastroparesis had a GES device laparoscopically implanted. Even though GES seems promising, more study is necessary to improve patient choice, technique, and long-term results. Patients with refractory gastroparesis who have not responded to traditional therapy should be considered for GES, with treatment decisions being made individually depending on clinical presentation and patient preferences.
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